Our Community Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

OUR COMMUNITY HOME CARE

Practice address

635 W. 73
Chicago, IL 60621

Phone

(216) 906-5610

NPI assigned

Sep 20, 2023

Last updated

Sep 20, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chaun'Drea ClarkNPI 1316238629

Title

Owner

Phone

(216) 906-5610

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chaundrea Nicole Clark, STNA

  • Nurse's Aide
  • Cleveland, OH
  • NPI 1316238629
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1427836410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 STRATHAVON RD UPPR",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205228",
            "telephone_number": "216-906-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W. 73",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60621",
            "telephone_number": "216-906-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR COMMUNITY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CHAUN'DREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-906-5610"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurencia Ouedraogo
• Fatima Ouhmini
• Tara Ashley Ouillette, LPC, NCC
• Sara Ould Ammar
• Neila Ould-Ali, LMFT
• Our Dailey Bread, PLLC
• Our House Therapy Collective a Healing Community
• Our House Therapy Collective a Healing Community
• Our Lady of the Resurrection Medical Center (Addison Emergency Physicians)
• Our Physical Therapy LLC

• In Home Supportive Care Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.